| NPI | 1902049091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL S GOMEZ Medical Director 281-693-7546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX J4824) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX J4824) |
| 2086S0129X Surgery Vascular Surgery (Licence: TX J4824) | |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2009-04-20 |